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Individual

DANIEL JAMES DAIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 926-8686
Mailing address
DEPT 952639, ATLANTA, GA 31192-2639
(800) 684-0857

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08647
LA

Other

Enumeration date
04/08/2016
Last updated
04/08/2016
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